Dr Jaehee Hwang Williamson, DMD | |
9864 Luckey Dr, Houghton, NY 14744-8706 | |
(716) 375-7500 | |
Not Available |
Full Name | Dr Jaehee Hwang Williamson |
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Gender | Female |
Speciality | Dentist |
Location | 9864 Luckey Dr, Houghton, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972917441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D10039 (Oregon) | Secondary |
122300000X | Dentist | 064195 (New York) | Primary |
Entity Name | Southern Tier Community Health Center Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184654477 PECOS PAC ID: 3375513724 Enrollment ID: O20040731000008 |
Mailing Address | Practice Location Address |
---|---|
Dr Jaehee Hwang Williamson, DMD 35 Wellington Rd, Buffalo, NY 14216-2810 Ph: (801) 602-7797 | Dr Jaehee Hwang Williamson, DMD 9864 Luckey Dr, Houghton, NY 14744-8706 Ph: (716) 375-7500 |
Dr. John D Nystrom, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9660 Route 19, Houghton, NY 14744 Phone: 585-567-2241 Fax: 585-567-2297 | |
Dr. Martin Chocholik, DMD Dentist Medicare: Medicare Enrolled Practice Location: 9864 Luckey Dr, Houghton, NY 14744 Phone: 716-375-7500 | |
Mr. David Shoff Daugherty, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9660 Rt #19, Houghton, NY 14744 Phone: 585-567-2241 Fax: 585-567-2297 | |
Dion Jacobs, DDS Dentist Medicare: Medicare Enrolled Practice Location: 9864 Luckey Dr, Houghton, NY 14744 Phone: 617-256-5737 | |
Melissa Stoj, DDS Dentist Medicare: Medicare Enrolled Practice Location: 9864 Luckey Dr, Houghton, NY 14744 Phone: 716-375-7500 |